JUSTO MARTIN CONCEPCION - Physician Assistant License in New York | # 085005741

JUSTO MARTIN CONCEPCION

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005741

License Status

NOT RENEWED

Business

N

First Name

JUSTO

Middle

MARTIN

Last Name

CONCEPCION

Business Name

JUSTO MARTIN CONCEPCION

Original Issue Date

11/30/2015

Effective Date

02/26/2016

Expiration Date

03/01/2018

State

NY

Ever Disciplined

N

LastModifiedDate

05/10/2018